|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. PROFIT SHARING PLAN
|
2012
|
522420649
|
2013-07-18
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9549668559
|
| Plan sponsor’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-18 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. PROFIT SHARING PLAN
|
2011
|
522420649
|
2012-06-25
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9549668559
|
| Plan sponsor’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431
|
Plan administrator’s name and address
| Administrator’s EIN |
522420649 |
| Plan administrator’s name |
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. |
| Plan administrator’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431 |
| Administrator’s telephone number |
9549668559 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-25 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. PROFIT SHARING PLAN
|
2010
|
522420649
|
2011-10-03
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9549668559
|
| Plan sponsor’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431
|
Plan administrator’s name and address
| Administrator’s EIN |
522420649 |
| Plan administrator’s name |
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. |
| Plan administrator’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431 |
| Administrator’s telephone number |
9549668559 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-03 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. PROFIT SHARING PLAN
|
2009
|
522420649
|
2010-07-23
|
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9549668559
|
| Plan sponsor’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431
|
Plan administrator’s name and address
| Administrator’s EIN |
522420649 |
| Plan administrator’s name |
SURGICAL CONSULTANTS OF HOLLYWOOD, P.A. |
| Plan administrator’s
address |
1150 N. 35TH AVENUE, SUITE 540, HOLLYWOOD, FL, 330215431 |
| Administrator’s telephone number |
9549668559 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-23 |
| Name of individual signing |
CAMERON KELLY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
